Organization
DR. JESSE A. STOFF MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE ANDREW STOFF (MD/OWNER)
(718) 318-6554
Entity
Organization
Contact information
Practice address
86-24 ROCKAWAY BEACH BLVD, ROCKAWAY BEACH, NY 11693-0000
(718) 318-6554
Mailing address
86-24 ROCKAWAY BEACH BLVD, ROCKAWAY BEACH, NY 11693-0000
(718) 318-6554
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
150519
NY
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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